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General NPI Number Information
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NPI Number | 1174504849
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Entity Type | Organization
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Legal Business Name | GORDON MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 11/09/2005
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 300 E 8TH ST
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City | GORDON
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State | NE
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Zip | 69343-1123
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Country | US
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Telephone | 308-282-0401
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Fax | 308-282-6109
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Provider Business Mailing Address
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Address Line | 300 E 8TH ST
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City | GORDON
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State | NE
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Zip | 69343-1123
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Country | US
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Telephone | 308-282-0401
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Fax | 308-282-0431
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Authorized Official
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Title or Position | CEO
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Name | MEGAN M HEATH
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Credential | RN
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Telephone | 308-282-0401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 730001
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License Number State | NE
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